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, <br /> I <br /> , <br /> � <br /> a � <br /> Cy - - .. . ._ _ _ _ t , � : . __--- CHART N0. — - --- 5 I <br /> 9 y y ^--- - -- ---'- I� <br /> �� � ' <br /> ; � <br /> 'C y� I <br /> � H� <br /> ON <br /> �� g � <br /> � � Sewer Application and Permit TO POSTI�►� 3-�-Q� I <br /> H <br /> gy — � — I <br /> t�v� ?. �07d DATE 9-t �-:;� - <br /> ��� �„ ---- i . � " , ��o��r:.,, � <br /> � y ServiceAddress =6�� Innrh �:c ;e Ulitity`^r.ountNo. „--�.�..�r;— � <br /> � <br /> BIIIIng Address nAPfB ;f.l,l c +'ti�: 'i <br /> i'7�". 4•,7t ��.,, <br /> CIty, State,Zip Pvarett wA 9H2OB _ PermitFee $ _ 7o.U�Qf�O::°�iin <br /> _���— <br /> Owner �ntehral - 786 Nanegement Inc ConnecUon Charge • ' '� �� '"��' ''' <br /> ,;i ir�q„'i il:! � <br /> Connectionby — Trunk '��3'— a�'�•- ^ -- <br /> 5703 Wentport WynC �'�� ;�, �,�,...' ��� i <br /> Address ____.__._--. — Lateral , u.3� . — <br /> ll �'.�ncouver ftC Caneda V6P. 2KJ �.��I!'�� L'ifLL('. <br /> __ Totel Connection Charge, .S — <br /> Phone _ (604) 92t-832n ,.,��,r� ���.,:, . <br /> Utiliry Development Fea „ „ <br /> � ,� .i�n <br /> ��� Lsgal Descriptlon: Water ' � '' �`'`''' <br /> �� �i �., <br /> Lot 3 — Sewer � � i„� 411.0� <br /> '' Block Total Development Fee . �,S �'SY`,��� <br /> r ;..�, ,n <br /> '_' Plat — — _� , ,:'i �e� <br /> I Unpletted Descdptlon: Sewer Bond Distrid � ����'� ���' � <br /> ' , , , ,.�i�. � <br /> � . Ahutling Loi Llne "����p , <br /> ,�,�v,�„t`�'t�:l'. <br /> � ; i,� I ."I._;: n. � <br /> N,S, E,W <br /> �� ',Ynv conn�t[lnn KR � ' -'���'.`���. , <br /> � Type ol Permlt Approved By �� <br /> � F.f.luti:t hnune 1n Einrnhovec Coui[ pN <br /> Remerks R Iscued By <br /> � I <br /> ' CustomerSlgnaWre —.-- <br /> ' IMPORTANTI � <br /> ; CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING >'-/� <br /> InspecUon 8� � � � .' �. <br /> CALL 259-8810 FAR INSP�CTION � <br /> Date Inspecled 2 <br /> SEE SKETCH A7TACHED , <br /> INSPECTION � C'� � � <br />